NCC220066_NOI 77469 Payment Verification_20220105

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/4/2022 10:18:07 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/4/2022 10:30:14 AM (Review - Construction NOI 77469)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/4/2022 10:18 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 6, 2022 5:00 PM
1/4/2022 10:18 AM
Submit by Selkane, Aziza 1/5/2022 10:51:03 AM (Payment Verification for NCC220066)
P Lee Humphrey
• Selkane, Aziza assigned the task to Selkane, Aziza 1/5/2022 10:50 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 15, 2022 5:00 PM
1/4/2022 10:30 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Legacy Lakes Phase 4, Section 1-3
Lot Numbers
(If listed on the eNOI)
111
NC Reference No.*
NCG01-2022-0066
Certificate of
NCC220066
Coverage (COC) No.*
Invoice Date
1/4/2022
Initial Invoice No.
NCC220066-2022
Initial Fee
$ 100.00
Invoice Due Date
2/3/2022
Important: If you change the choice below to Payment NOT RECEIVED, the application will be rejected, and a COC will
not be issued. This is the ONLY way to reject an eNOI at this step.
Payment Received*
• Payment Received.
Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
1/5/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
611269514
Transaction Number*
NOI Tracking No.
77469
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-MOORE-2022-Legacy Lakes Phase 4, Section 1-3